1. Home
  2. Directory
  3. Virginia
  4. Midlothian
  5. Psychologist
  6. NPI Profile

DR. MADELINE ANNE IVANCHENKO PH.D.
NPI 1730480740
Psychologist - Clinical in Midlothian, VA

Active since November 07, 2010PECOS Enrolled
2342 COLONY CROSSING PL, MIDLOTHIAN, VA 23112(804) 639-1112 Get Directions Write a Review

NPPES record last updated: November 9, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Madeline Anne Ivanchenko Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MADELINE ANNE IVANCHENKO PH.D. (NPI 1730480740) is an individual clinical provider in Midlothian, Virginia, licensed in Virginia (0810004312) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730480740
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MADELINE ANNE IVANCHENKOCredential: PH.D.
Location Address2342 COLONY CROSSING PLMidlothian, VA 23112-4280
Mailing Address9097 Atlee Station Rd, Suite 219Mechanicsville, VA 23116-2525 · (804) 730-0432
Phone(804) 639-1112
Sole ProprietorYes
Enumeration DateNovember 7, 2010
Last NPPES UpdateNovember 9, 2010
✔ NPI 1730480740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810004312
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2342 COLONY CROSSING PL, Midlothian, VA 23112
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Madeline Anne Ivanchenko Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Madeline Ivanchenko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
2,368 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH KARLUS D'SOUZA D.C.
Chiropractor
2342 COLONY CROSSING PL
MIDLOTHIAN, VA 23112
Chesterfield County (804) 744-4317
VENTURE WELLNESS LLC
Nurse Practitioner (Family)
2342 COLONY CROSSING PL
MIDLOTHIAN, VA 23112
Chesterfield County (804) 601-8625
BALANCE 4 LIFE CHIROPRACTIC
Chiropractor
2342 COLONY CROSSING PL
MIDLOTHIAN, VA 23112
Chesterfield County (804) 744-4317
DR. JULIA MONTGOMERY DNP, FNP-BC, CCRN
Nurse Practitioner (Family)
2342 COLONY CROSSING PL
MIDLOTHIAN, VA 23112
Chesterfield County (804) 601-8625
NICHOLAS KARLUS DSOUZA LMT, NMT
Massage Therapist
2342 COLONY CROSSING PL
MIDLOTHIAN, VA 23112
Chesterfield County (804) 744-4317

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madeline Ivanchenko's NPI number?

The NPI number for Madeline Ivanchenko is 1730480740. It was assigned to this individual provider in the NPPES registry on November 7, 2010.

Where is Madeline Ivanchenko located?

Madeline Ivanchenko practices at 2342 Colony Crossing Pl, Midlothian, VA 23112. The listed phone number is (804) 639-1112.

What is Madeline Ivanchenko's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Madeline Ivanchenko enrolled in Medicare?

Yes. Madeline Ivanchenko is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Madeline Ivanchenko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madeline Ivanchenko reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Madeline Ivanchenko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Madeline Ivanchenko was last updated on November 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.